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Cot Sales and Ambulance Services Cot sales are rising because of higher birth rates and awareness about baby safety. Many companies are also introducing cots that can be converted into day beds. A consistent and rigorous methodology for assigning COT designations is critical to ensure accuracy in government pricing computations. A clearly documented SOP as well as an auditing process that is thorough are important. Demand for ambulances is increasing Globally, the ambulance market is booming as trauma